Imaneh khaki - Department of Midwifery, School of nursing and midwifery, Qom University of Medical Sciences Qom, Iran.
Mohammad Abbasi - Department of Nursing, School of nursing and midwifery, Qom University of Medical Sciences, Qom, Iran.
zohre khalajinia - Department of Midwifery, School of nursing and midwifery, Qom University of Medical Sciences Qom, Iran.
Somayeh Momenyan - Paramedical Sciences Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background and Objectives: The observance of professional ethics is one of the most important expectations from health care team whose application has a tremendous effect on treatment course. The aim of this study was to investigate barriers to observance of the codes of professional ethics in clinical settings from the perspectives of nurses and midwifery in hospitals affiliated with Qom University of Medical Sciences in ۲۰۱۶. Methods: This descriptive cross-sectional study was conducted with ۲۴۶ nurses and midwives working in the public hospitals affiliated with Qom University of Medical Sciences. The data collection instrument was a questionnaire (developed by Dehghani et al.) to investigate the observance of professional ethics in the three domains management, environmental and individual care-related. Results: In the management domain, the most important barrier to implementing the codes of professional ethics in clinical settings were lack of in-service training and educational programs from midwives’ perspectives (۲.۲±۰.۹) and inappropriate head nurse-staff communication and lack of in-service training and educational programs from nurses’ perspectives (۲.۵۳±۱.۱۹, and ۲.۵۳±۱.۰۶, respectively), in environmental domain, lack of suitable equipment in ward from midwives’ perspectives (۲.۰۳±۰.۹۴) and rotational shiftwork from nurses' perspectives (۲.۳۲±۱.۰۷) and in individual care-related domain, lack of technical skills from both midwives’ and nurses’ perspectives (۲.۲۹±۱.۲۱ and ۲.۶۵±۱.۲۳, respectively). Conclusion: According to the results of this study, individual care-related factors were among the most important barriers to observing professional ethics from the perspectives of nurses and midwives working in hospitals.  

Professional Ethics, Clinical Care, Nurses, Midwives.